Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristate Wellness Mgt LLC

Organization Clinical Psychologist · NPI 1609821164

Tristate Wellness Mgt LLC is a Clinical Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2826 N Talman Unit J
Chicago, IL 60618-7828
Phone: (708) 646-5738
Fax: (866) 587-1485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 036093462 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 336-008797 (IL)

Record details

NPI number1609821164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Thompson — Program Director · (708) 646-5738
NPI enumeratedMay 23, 2006
Last updated in NPPESJanuary 8, 2008
Mailing address2826 N Talman, Unit J, Chicago, IL 60618-7828

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